| NPI | 1902659733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRODE P PASCUAL President/CEO 310-910-7329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |